2019 Medical Form


Please fill out this medical form and submit for camp.
  • Date Format: MM slash DD slash YYYY
  • I hereby authorize the staff of the Encore Summer Music Camp to act for me according to their best judgment in any emergency requiring medical attention, giving permission to have my child transported to the nearest hospital if necessary. In addition, I hereby waive and release the ECMA, its camp staff, affiliates, organizations and the Carroll and Howard County Public School Systems of any and all claims, liabilities, personal injuries, damage to property, resulting from participation in or in any way connected with the camp program. By signing this agreement, I accept and assume full responsibility for any and all injuries, damages, and losses of any type, which may occur to my child during the camp. Furthermore, I release all photos taken of my child by the ECMA staff for promotional purposes and the camp slideshow.

  • Please click and drag in the box above to sign this form.
  • Date Format: MM slash DD slash YYYY

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